NUR 2092 N1 Final Exam_Quiz 1,2,3, & 4: graded !

Quiz 1 1. In meeting the safety needs of the adolescent client, it would be most important for the nurse to focus her teaching on: A. Smoking B. Sports injury C. Alcohol abuse D. Drivers education 2. When implementing the use of restraints on a hospitalized client the nurse should. a. Restrain all confused clients so they do not sustain a fall injury b. Tie restraint to bottom of the side rail so the client can’t reach c. Ensure that the primary care provider renews orders every 24 hours d. Release and provide skin assessment once every shift 3. A client on the hospital unit has fallen. Place the nursing interventions in order of priority: A. Identify all witnesses B. Call the physician C. Assess and provide urgent care D. Notify the charge nurse E. Fill out the incident report Correct order: C, D, B, A, E 4. A nurse observes smoke coming from under the door of the staff lounge. Which is the priority action? a. Extinguish b. Pull alarm c. Evacuate the patient d. Close all open doors on the unit 5 A nurse manager is renewing guidelines to prevent injury with staff nurses. Which of the following should the nurse manager include in the teaching? (Select all that apply) A. Request assistance when repositioning a client B. Avoid a twisting, jerking movement C. Keep the knees slightly lower D. Use smooth movements E. Take a break from negative movements every 2-3 hours to flex and stretch joints and muscles Quiz 2 1. The physical assessment technology used during the musculoskeletal assessment include: 1. Palpation, interview, and auscultation 2. Inspection, palpation, and range of motion 3. Observation, palpation, and auscultation 4. Interview, percussion, and palpation 2) A 50-year-old woman had a surgical repair of a fracture of her right tibia 2 days ago. She has been using crutches for ambulation and must remain non-weight bearing on her right leg but must learn to use the steps leading into her house. The nurse should instruct the woman to - Lead with the left leg when going up the steps, and lead with the right leg when going down the steps 3) A client is newly diagnosed with osteoarthritis of her knees and she has told the nurse that the healthcare provider prescribed acetaminophen and ibuprofen for pain. Client says she can not afford prescription. The nurse's best response would be. a. Dr. Cho thinks your pain is only minimal and the cheap medications are a good way to keep you out of the office. b. Dr. Cho knows that these medications will help your pain and they are relatively inexpensive and available over the counter at your local grocery store or pharmacy c. I’ll call the social worker d. Dr. Cho knows that these medications are covered by your insurance and you shouldn’t be worried 4) In assessing a client who has been immobilized because of illness, the nurse would most likely document the client’s muscles as which of the following? - Atrophied 5) A nurse is performing health screenings of client’s as a health fair. Which of the following clients are at risk for osteoporosis? (Select all that apply) - A 40-year-old client who takes prednisone for asthma - A 45-year-old client who takes Dilantin for seizures - A 65-year-old client who has a sedentary lifestyle - A 70-year-old client who has smoked for 50 years CLASS NOTED 04-16-18 Osteomalacia—softening of bone---Paget’s disease: affects skull, vertebrae..painful (Tx PAIN)—Osteomyelitis: infection of bone, long term ABT, PICC/CENTRAL 6ks to months, painful—Tumors: malignant: primary: 10-30 age secondary: metastatic: occurs in older adults, metastasized; Osteosarcoma=death—Osteoporosis: most common in postmenopausal women, Ca loss, reduction of weight bearing activities, decreased estrogen level, loss of bone density; silent disease; bone mineral density test; 65 yrs and older; first sign in fx back, wrist, hip; vertebrae become compact (lose ht); supplements (Fosamax, Boniva)-review Fosamax; may develop kyphosis, COPD,--fibromyalgia: nerve pain, pain stiffness in lower back, chest, exacerbation and remissions; lack of sleep stress, not eating right, arthritis, worsen with increased activity, hot and cold weather, diff altitudes, migraine common symptom, bright light, noise; prevent: restful night sleep, limit stress, eat well, TX with anti inflammatory, Elavil, Cymbalta, gabapentin, lyrica---Gout deposits in joints, uric acid—primary error in purine levels, common in men—secondary excessive uric acid in blood any age, medications: diuretics, renal insufficiency, crash diet, chemo drugs—Allopurinol: acute, maintenance, and for kidney stones—exacerbation of gout: Colchicine—low purine diet: red & organ meat, shellfish, alcohol, gravies, strong cheeses (pg 331)---Osteoarthritis: DJD-obesity, wear and tear, aging; usually single joint; weight bearing joints; NSAIDS, lidocaine patches—rheumatoid arthritis: bilateral joints—arthroplasty joint surgery—arthroscopy: look at joint—Pg 308—osteoarthritis: Mobic or Celebrex—RA: synovial, autoimmune, exacerbation, upper extremities, bilateral or symmetrical, immunosuppressants, methotrexate, steroids, stiffness in joints, weak, assistive device to eat, ADLs; exacerbation and remission—Lyme disease: trick, pain, bullseye rash, flu like symptoms (doxycycline early)—dyspnea, dizziness, palpitations, bell's palsy, dysrhythmias (abt at least 30 days-late)